Widening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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1/9 - Lack of sufficient keratinized mucosa following extensive horizontal ridge augmentationWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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2/9 - Split-thickness flap preparation and apical positioning of the mobile mucosaWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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3/9 - Rehydration of mucoderm® in sterile saline and cut to sizeWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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4/9 - mucoderm® immobilized with deep periosteal anchoring sling and superficial mattress suturesWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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5/9 - Initial wound healingWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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6/9 - Uneventful wound healingWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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7/9 - Following graft maturation placement of Straumann SLActive implantsWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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8/9 - Sufficient keratinized mucosa and deep vestibuleWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
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9/9 - Newly formed keratinized mucosa 6 months post-operativeWidening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth
Initial view of the case. Discoloration of 1.1 and mild class I gingival recession
Initial clinical situation with Miller class 1 recession
Initial clinical situation
Initial clinical situation
Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.
Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.
recession on tooth 11
Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla
Initial clinical situation
Tooth extraction due to root fracture
Full-thickness flap preparation bucally and lingually
Initial situation: missing teeth #11 & 12 and badly broken #21 root
Drilling template for guided implant placement
Initial clinical situation showing strongly compromised tooth 21
Pre-surgical clinical situation. Deep gingival recessions at both upper canine.
Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.
Multiple adjacent gingival recessions.
X-ray shows a 3-dimensional periondontal defect
Initial clinical situation with lack of keratinized tissue
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Intact socket following atraumatic tooth extraction
X-ray of initial clinical situation
Initial clinical situation
Alveolar socket before soft and hard tissue augmentation
Clinical situation before surgery
Initial clinical situation
Initial clinical situation with traumatic loss of tooth 21
Longitudinal fracture on the root resected tooth 21 with visible buccal fistula








